title: Is child psychiatric service different when provided by attendings versus clinicians-in-training?
abstract: OBJECTIVE
  This study examines the clinical management characteristics of outpatient child and adolescent psychiatric care provided by attendings and clinicians-in-training in an academic institution. The authors hypothesized that no significant differences would exist between initial evaluations conducted by attendings and those conducted by clinicians-in-training.
  
  
  METHODS
  The amount of information obtained during an initial evaluation and the number and type of services recommended postevaluation were assessed for 429 patients treated in the child and adolescent psychiatry clinics at Stanford University by attending psychiatrists and clinicians-in-training.
  
  
  RESULTS
  No significant differences were found for the evaluations conducted by attendings and clinicians-in-training for the amount of data collected during an evaluation of the number or type of recommendations made postevaluation.
  
  
  CONCLUSIONS
  These findings lend themselves to the conclusion that attendings and clinicians-in-training offer comparable services in the assessment of new patients. Study limitations and future areas of study are discussed.
authors.affiliation: Child and Adolescent Psychiatry, Stanford University, Stanford, CA 94305-5719, USA. sharonw@stanford.edu
authors.forename: Sharon E
authors.initials: SE
authors.lastname: Williams
authors.forename: Jacqueline L
authors.initials: JL
authors.lastname: Martin
authors.forename: Jennifer
authors.initials: J
authors.lastname: Dyer-Friedman
authors.forename: Lynne C
authors.initials: LC
authors.lastname: Huffman
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002665:Child Psychiatry / Q000191:economics / Q000379:methods*; D002983:Clinical Competence; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007396:Internship and Residency / Q000191:economics; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000453:epidemiology / Q000628:therapy*; D015588:Observer Variation; D010820:Physicians; D011795:Surveys and Questionnaires; D000078329:Workforce